Patient's question:
Doctor, hello, my wife and I have been married for many years, but we haven't used much contraception in terms of sex, yet we have never had a child. We suspect that we might be suffering from infertility. Since we both work and can't find time to get together, I would like to ask what tests need to be done and what should we do?Doctor's answer:
The items included in female infertility examinations are:1. Determining ovulation: This is assessed through basal body temperature measurement, cervical mucus examination, or hormone testing.
2. Reproductive system examination: In addition to general visual and tactile examinations, vaginal speculum examination and internal examination (bilateral or triple vaginal examination) are performed to preliminarily assess the general condition of the vagina, uterus, cervix, fallopian tubes, ovaries, and pelvic cavity. For example, the size and position of the uterus, whether there are masses or tenderness in the fallopian tubes, uterus, or ovaries, whether the uterus has elevation tenderness, and the mobility of the adnexa.
3. Endometrial examination: If necessary, a biopsy is performed to understand the functional state of the endometrium. The postcoital test is also a reliable method for assessing ovulation or corpus luteum function. At the same time, it can help determine the size of the uterine cavity and rule out cavity lesions, such as tuberculosis or uterine fibroids.
4. Endocrine function examination: For example, serum estrogen and progesterone levels are measured at different times of the menstrual cycle to assess ovarian function; the basal metabolic rate is measured to evaluate thyroid function; adrenal function tests and serum prolactin measurements are conducted, among others.
Advice: If infertility persists, both partners are advised to undergo a comprehensive examination at a regular hospital. Pregnancy is a matter for both men and women. If infertility occurs, both partners should promptly visit a hospital to identify the cause and receive timely treatment to avoid missing the optimal treatment window.